If your organization is among the 25% of U.S. hospitals participating in the new APM (alternative payment model), you’ve got your work cut out for you.
By January 2026, select hospitals must participate in the Transforming Episode Accountability Model (TEAM) initiated by CMS/CMMI. If your organization is selected, you’re responsible for overseeing the full spectrum of care for Medicare patients undergoing surgical procedures. Oversight of care begins upon commencement of an outpatient procedure or hospital admission and continues until 30 days post-procedure or after a patient leaves the hospital.
TEAM is a coordinated effort between CMS and providers that seeks to:
- Improve health outcomes and value-based care for Medicare patients
- Decrease hospital readmittance and adverse outcomes
- Reduce costs for patients and providers alike
But it won’t be easy. TEAM participating providers and health systems have a lot of work ahead.
The Challenge of TEAM Work
Improved care coordination and communication between patients, their caregivers and physicians holds tremendous benefits for all parties. Among them are more effective procedures, safer transitions to home post-procedure and improved access to care. Achieving this goal, however, places added accountability and responsibility on the health systems.
Your organization may already feel sustained pressure to do more with less. As a result, the added burden of the TEAM mandate to handle care coordination and communication across all care settings may feel unsustainable. It may even feel unrealistic.
Carenet Health is uniquely positioned to help you manage that burden.
Carenet Supports TEAM Hospitals
At Carenet Health, we share your goal, and that of CMS, to achieve better quality of care via improved coordination and communication. Our network of healthcare experts, globalservices and digital solutions are structured to meet that need.
As a healthcare-only company with a 20-year legacy of supporting more than 500 premier healthcare businesses, Carenet understands the importance and implications of the TEAM challenge. We are equipped to help your organization not only mitigate the burden of the TEAM mandate but successfully navigate TEAM requirements, achieve success and drive both financial and quality outcomes. With our solutions, your healthcare business can meet requirements and reduce operational expenses while maintaining high standards of care.
Care Coordination and Communication
Carenet’s resources and services can help ensure seamless coordination and communication across all care settings. Our AI-enabled Health Advisors, clinical teams and digital solutions orchestrate communication between patients, caregiver teams, physicians and hospitals.
Carenet Clinical Teams
We have a nationwide network of licensed registered nurses, care advisors and clinical team members that provide 24/7 clinical support to patients. When you partner with us, your post-operative Medicare patients and their caregivers have around-the-clock access to nurse triage services for critical issues, such as infections. Clinical staff can monitor your patients’ health for all 30 days of their post-op period.
Carenet Health Advisors
Our expert Health Advisors are also available to provide non-clinical care coordination and communication. If your patients need help scheduling follow-up appointments or managing transportation to care locations, we can field these requests for you so your staff can streamline efforts to provide care and meet TEAM requirements.
Advanced Digital Tools
Our AI-assisted CX solutions take intelligent engagement and CRM technology to the next level. Using standard API configuration, our proprietary platform seamlessly connects with your systems to provide uniform patient communication and data-driven outcomes.
Custom and out-of-the-box solutions are available based on your Health System’s needs. They can easily integrate with your existing CRM systems to manage complex communications around operative and follow-up care.
Streamlined Patient Engagement
Carenet’s patient engagement solutions create unique, personalized and actionable patient experiences. Our technology-enhanced human solutions can improve medication adherence, transition of care from site of service to home, post-discharge follow-ups, and post-service education.
Engage our solutions to streamline and simplify your post-care communications and connect your patients to the physicians, specialists and care services they need.
Data Analytics
Carenet Health’s CX Analytics Group provides industry-informed insights that evaluate the effectiveness of your engagement touchpoints for continuous optimization.
Improve patient experience before, during and after service interactions using data analytics to find care models that work. With the proper data and the right analysis, behavioral insights can drive both financial and quality outcomes throughout the TEAM program.
Meet TEAM Requirements with Carenet
Carenet Health provides AI-enabled digital and human solutions to enhance coordination and communication across the patient-provider ecosystem, driving cost optimization, improved outcomes and superior patient experience. By partnering with Carenet, you can effectively navigate the challenges of TEAM and future-proof your business.
Let us be your partner in navigating the TEAM challenge. Get in touch with us today. Or download our TEAM program one-sheet to learn more about what we do, and what we can do to help you be a TEAM success.
